ERIC E BERGMAN (Credential# 865159) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2022. The license status is ACTIVE.
ERIC E BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.931125. The credential type is emergency medical technician. The effective date is April 1, 2020. The expiration date is March 31, 2022. The business address is 35 Granite Hill Rd, Killingworth, CT 06419-2210. The current status is active.
Licensee Name | ERIC E BERGMAN |
Credential ID | 865159 |
Credential Number | 70.931125 |
Credential Type | Emergency Medical Technician |
Business Address |
35 Granite Hill Rd Killingworth CT 06419-2210 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-06-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2022-03-31 |
Refresh Date | 2020-06-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
504080 | CSP.0043574 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
743862 | 23.002113 | Physician Assistant | 2008-07-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
832895 | 69.920443 | Emergency Medical Responder | 1992-04-11 | - 1994-03-31 | INACTIVE |
Street Address | 35 GRANITE HILL RD |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419-2210 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa J Bergman | 35 Granite Hill Rd, Killingworth, CT 06419 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gina Cannelli | 41 Granite Hill Rd, Killingworth, CT 06419-2210 | Real Estate Salesperson | ~ |
Patricia T Piala | 31 Granite Hill Rd, Killingworth, CT 06419-2210 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
John J Riordan | 25 Granite Hill Rd, Killingworth, CT 06419-2210 | Emergency Medical Responder | 2010-02-25 ~ 2013-04-01 |
Susan B Avdevich | 25 Granite Hill Rd, Killingworth, CT 06419-2210 | Emergency Medical Responder | 2008-04-14 ~ 2011-07-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Emergency Medical Technician |
License Type + County | Emergency Medical Technician + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emma A Bergman | 1 Vintage Ln, New Milford, CT 06776-3906 | Emergency Medical Technician | ~ |
Edward J Bergman IIi | 27 Seagrave Street, Danielson, CT 06239 | Emergency Medical Technician | ~ 1991-10-01 |
Frank E Bergman · Bergman and Sons Builders | 35 Liepis Rd, Canterbury, CT 06331 | New Home Construction Contractor | 2001-05-01 ~ 2001-09-30 |
Christopher J Bergman | P.o. Box 205, Wauregan, CT 06387 | Emergency Medical Responder | ~ 1996-10-01 |
Marie A Bergman | 203 Simpson Lane, Oakdale, CT 06370 | Emergency Medical Responder | 2002-03-05 ~ 2004-01-01 |
Edward J Bergman Jr. | 29 Liepis Road, Canterbury, CT 06331 | Emergency Medical Responder | ~ 1996-07-01 |
Gerald J Bergman | 39 Beach Rock Road, Barkhamsted, CT 06063 | Emergency Medical Responder | 2003-02-24 ~ 2006-01-01 |
Susan N Bergman | 29 Bergman Dr, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
Eric P Malone | P.o. Box 200, Waterford, CT 06385 | Emergency Medical Technician | ~ 1997-07-01 |
Eric K Oneill | 6 Fulton Dr, New Fairfield, CT 06812-3821 | Emergency Medical Technician | ~ |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).